Health İnstitutions Management
Associate	TR-NQF-HE: Level 5	QF-EHEA: Short Cycle	EQF-LLL: Level 5

General course introduction information

Course Code:

SKI106

Course Name:

Health Insurance

Course Semester:

Spring

Course Credits:

Theoretical	Practical	Credit	ECTS
3	0	3	4

Language of instruction:

Course Requisites:

Does the Course Require Work Experience?:

Type of course:

Department Elective

Course Level:

Associate

TR-NQF-HE:5. Master`s Degree

QF-EHEA:Short Cycle

EQF-LLL:5. Master`s Degree

Mode of Delivery:

Face to face

Course Coordinator :

Öğr.Gör. BÜLENT DERSE

Course Lecturer(s):

Course Assistants:

Course Objective and Content

Course Objectives:

To gain a basic perspective on public and private health insurance and to explain the importance of insurance and insurance in health management.

Course Content:

This course includes the following topics; Health Care System and the Border, Basic Criteria in Health Organization, Basic Finance Models and Role and Importance of Health Insurance on Health, Health Insurance Concepts, Types, and Classification of Private Health Insurance History in Turkey, Technical and Market Analysis, Distribution Channels, Private and Public Health Basic Legislation in Insurance, Organizational Structure in Health Insurances, Underwriting and Production Processes, Related Legislation, Organizational Structure in Health Insurances, Underwriting and Production Processes, Related Legislation (continued), Compensation and Provision Process in Health Insurances, Related Legislation, Network and Contract Management in Health Insurances, related Legislation (continued), Sustainability in Health Spending, Financial Management of Chronic Diseases in Health Care and Reimbursement Methods, Process and General Health Insurance Complementary Health Insurance in Turkey, Medical Tourism and Health Tourism Insurance, Analysis of General Health Data and Strategic Goals, Analysis of General Health Data and Strategic Goals (continued).

Learning Outcomes

The students who have succeeded in this course;

Learning Outcomes

1 - Knowledge
Theoretical - Conceptual
2 - Skills
Cognitive - Practical
3 - Competences
Communication and Social Competence
Learning Competence
Field Specific Competence
1) Reviews health system and its sub-systems from a financial macro perspective.
2) Explain health financing resources and the importance of diversity.
3) Classifies health expenses by source and distribution and explains the importance of sustainability of health expenditures.
4) Explain the concepts of insurance and insurance and comprehend basic working principles of insurance.
Competence to Work Independently and Take Responsibility

Lesson Plan

Week	Subject	Related Preparation
1)	Health Services System and Boundaries, Basic Criteria in Health Organization	Examination of sample cases related to the subject
2)	Basic Financing Models in Health and the Importance of Health Insurances	Examination of sample cases related to the subject
3)	Health Insurance Concepts, Types and Classification	Examination of sample cases related to the subject
4)	History of Private Health Insurance in Turkey, Technical and Market Analysis, Distribution Channels	Examination of sample cases related to the subject
5)	Basic Legislation in Private and General Health Insurance	Examination of sample cases related to the subject
6)	Organizational Structure, Underwriting and Production Processes in Health Insurance, Related Legislation	Examination of sample cases related to the subject
7)	Midterm exams
8)	Compensation and Provision Process in Health Insurance, Related Legislation	Examination of sample cases related to the subject
9)	Compensation and Provision Process in Health Insurance, Related Legislation	Examination of sample cases related to the subject
10)	Sustainability in Health Expenditures, Reimbursement Methods in Health Services and Financial Management of Chronic Diseases	Examination of sample cases related to the subject
11)	Process and General Health Insurance Complementary Health Insurance in Turkey	Examination of sample cases related to the subject
12)	Health Tourism and Health Insurance in Tourism	Examination of sample cases related to the subject
13)	Analysis of General Health Data and Strategic Targets	Examination of sample cases related to the subject
14)	Analysis of General Health Data and Strategic Targets	Examination of sample cases related to the subject
15)	Final exams	none

Sources

Course Notes / Textbooks:	Özbolat, M. (2017). Temel Sigortacılık, Seçkin Kitapevi, Ankara.
References:	Orhaner, E. (2000). Türkiye’de Sağlık Sigortacılığı, Gazi Kitapevi, Ankara

Course-Program Learning Outcome Relationship

Learning Outcomes	1	2	3	4
Program Outcomes
1) Having social, scientific, cultural and ethical values in the stages of collecting, implementing and announcing the results related to the field.
1) Having theoretical and practical knowledge at the basic level supported by textbooks, application tools and other resources with up-to-date information in the field based on the competences gained at secondary level.
1) To be able to share ideas and suggestions for solutions to issues related to the field with experts and non-experts.
2) To gain the ability to use the same level of theoretical and applied knowledge at the same level in an advanced education level or the same field in the field.
2) The universality of social rights, social justice, quality and cultural values and environmental protection, occupational health and safety.
3) 203/5000 To be able to interpret and evaluate data, to identify and analyze data, and to develop evidence-based solutions by using basic knowledge and skills acquired in the field.
4) To be able to transfer the thoughts at the level of basic knowledge and skills which are related to the field through written and oral communication.
5) Using a foreign language at least in the European Language Portfolio A2 General Level, you can follow the information in your field and communicate with your colleagues.
6) To be able to use the information and communications technologies with the computer software at least at the European Computer Use License Basic Level required by the field.
7) To be able to evaluate basic knowledge and skills in the field with a critical approach, to be able to identify and meet learning needs.
8) Be able to direct their study to an advanced level of education or to a profession at the same level.
9) Be able to carry out a basic level of work independently of the field.
10) Taking responsibility as a team member to solve complex and unforeseen problems encountered in field related applications.
11) Carrying out activities for the development of employees under the responsibility of a project.

Course - Learning Outcome Relationship

No Effect	1 Lowest	2 Low	3 Average	4 High	5 Highest

	Program Outcomes	Level of Contribution
1)	Having social, scientific, cultural and ethical values in the stages of collecting, implementing and announcing the results related to the field.
1)	Having theoretical and practical knowledge at the basic level supported by textbooks, application tools and other resources with up-to-date information in the field based on the competences gained at secondary level.
1)	To be able to share ideas and suggestions for solutions to issues related to the field with experts and non-experts.
2)	To gain the ability to use the same level of theoretical and applied knowledge at the same level in an advanced education level or the same field in the field.
2)	The universality of social rights, social justice, quality and cultural values and environmental protection, occupational health and safety.
3)	203/5000 To be able to interpret and evaluate data, to identify and analyze data, and to develop evidence-based solutions by using basic knowledge and skills acquired in the field.
4)	To be able to transfer the thoughts at the level of basic knowledge and skills which are related to the field through written and oral communication.
5)	Using a foreign language at least in the European Language Portfolio A2 General Level, you can follow the information in your field and communicate with your colleagues.
6)	To be able to use the information and communications technologies with the computer software at least at the European Computer Use License Basic Level required by the field.
7)	To be able to evaluate basic knowledge and skills in the field with a critical approach, to be able to identify and meet learning needs.
8)	Be able to direct their study to an advanced level of education or to a profession at the same level.
9)	Be able to carry out a basic level of work independently of the field.
10)	Taking responsibility as a team member to solve complex and unforeseen problems encountered in field related applications.
11)	Carrying out activities for the development of employees under the responsibility of a project.

Learning Activity and Teaching Methods

Expression
Q&A / Discussion

Assessment & Grading Methods and Criteria

Written Exam (Open-ended questions, multiple choice, true-false, matching, fill in the blanks, sequencing)

Assessment & Grading

Semester Requirements	Number of Activities	Level of Contribution
Midterms	1	% 40
Final	1	% 60
total		% 100
PERCENTAGE OF SEMESTER WORK		% 40
PERCENTAGE OF FINAL WORK		% 60
total		% 100

Workload and ECTS Credit Grading

Activities	Number of Activities	Duration (Hours)	Workload
Course Hours	1	30	30
Midterms	1	40	40
Final	1	60	60
Total Workload			130